THE progressive deleterious effects of bowel distension have made intestinal decompression the mainstay of treatment of small bowel obstruction, regardless of its cause. Operative decompression of intestinal distension in the treatment of paralytic ileus or in patients who are too ill for surgery has been accompanied by a forbidding mortality. In these instances, continuous siphonage of the lower reaches of the intestine by a long tube has been desirable. The most serious obstacles encountered in the use of these tubes has been negotiation of the duodenum and, if this is accomplished, the slow progression of the tube into the distal intestine.
Although aseptic operative decompression of the intestine by a long coiled sping tube with a flexible stylet has been accomplished in more than 150 surgical patients without recourse to enterotomy or enterostomy, efforts to secure successful passage of this tube in the nonoperative patient have not been rewarded with
Edlich RF, Gedgaudas E, Leonard AS, Wangensteen OH. New Long Intestinal Tube for Rapid Nonoperative IntubationA Preliminary Report. Arch Surg. 1967;95(3):443-450. doi:10.1001/archsurg.1967.01330150119016